Michael Robert Moreno in Stockton - Periodontics
Michael Robert Moreno - NPI 1356422000
Michael Robert Moreno is a Periodontics in Stockton, California. Michael Robert Moreno practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Michael Robert Moreno is 1356422000. The last update date is 2007-07-08.
Michael Robert Moreno's current location address is 3427 Deer Park Dr, Stockton, California. You can contact this provider via phone number 2094783036 and fax number 2094780258. The mailing address for Michael Robert Moreno is 3427 Deer Park Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robert Moreno |
|---|---|
| Address | 3427 Deer Park Dr, Stockton, California |
| Phone Number | 2094783036 |
| Fax Number | 2094780258 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356422000 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3427 Deer Park Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952192355 |
| Phone Number | 2094783036 |
| Fax Number | 2094780258 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 32491 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code assigned to Michael Robert Moreno by the Centers for Medicare & Medicaid Services?
The Michael Robert Moreno has been issued the NPI (National Provider Identifier) 1356422000 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael Robert Moreno located?
The Michael Robert Moreno is located at 3427 Deer Park Dr, Stockton, CA 952192355.
What is Michael Robert Moreno's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Robert Moreno's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When did Michael Robert Moreno receive its 1356422000 assignment?
The Michael Robert Moreno was assigned its 1356422000 on 2006-10-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Robert Moreno's details last updated?
The information pertaining to the Michael Robert Moreno, including its address, specialty, and other details, was most recently updated on 2007-07-08.